Pseudoxanthoma elasticum: a case of total gastrectomy for gastric hemorrhage

Less frequently, in approximately 13 per cent of patients with PXE, small vessel disease of the stomach may lead to gastrointestinal hemorrhage.1 Failure of small mucosal vessels to sufficiently retract in response to a bleeding lesion is the most probable etiology of gastric hemorrhage in PXE.3 Art...

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Published inThe American surgeon Vol. 74; no. 4; pp. 361 - 362
Main Authors Sur, Malini D, Nguyen, Scott Q, Labow, Daniel M, Scordi-Bello, Irini, Lento, Patrick A, Hyun, Jae Geun
Format Journal Article
LanguageEnglish
Published United States SAGE PUBLICATIONS, INC 01.04.2008
Subjects
Adult
Blood transfusions
Gastrectomy
Gastrointestinal Hemorrhage - etiology
Gastrointestinal Hemorrhage - pathology
Gastrointestinal Hemorrhage - surgery
Humans
Intensive care
Male
Medical imaging
Patients
Pseudoxanthoma Elasticum - complications
Pseudoxanthoma Elasticum - pathology
Pseudoxanthoma Elasticum - surgery
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Summary:Less frequently, in approximately 13 per cent of patients with PXE, small vessel disease of the stomach may lead to gastrointestinal hemorrhage.1 Failure of small mucosal vessels to sufficiently retract in response to a bleeding lesion is the most probable etiology of gastric hemorrhage in PXE.3 Arterial wall thinning, formation of aneurysms, and subsequent rupture may also be involved.4 In our case, both small mucosal vessels and the submucosal vessel found on pathologic examination likely contributed to recurrent, uncontrolled bleeding.
ISSN:0003-1348
1555-9823
DOI:10.1177/000313480807400420